Individual
MS. DIANNE BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
139 MAIN ST, 614A, BRATTLEBORO, VT 05301-3040
(802) 881-7586
Mailing address
139 MAIN ST, 614A, BRATTLEBORO, VT 05301-3040
(802) 881-7586
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
097.0107658 ROSTER#
VT
106H00000X
Marriage & Family Therapist
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—
Other
Enumeration date
08/22/2013
Last updated
01/15/2016
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